Adult Volunteer Application – The Living Wells Community & Development Center

Adult Volunteer Application – Full Name

First

Last

Phone Number

Email Address

all Phone or

Address:

Availability (days/times you are available)

Preferred Volunteer Roles (select all that apply)

If Other / Not Listed, please share your preferred volunteer role

Please share any skills experience or passions you would like to bring to your volunteer service.

By typing my full legal name below, I acknowledge that I am the parent or legal guardian of the participant and that my typed name serves as my electronic signature for this registration and payment authorization.